Individual
NOAH ODONNELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O
Contact information
Practice address
2901 174TH ST NE, MARYSVILLE, WA 98271-4743
(360) 454-1900
(425) 454-1991
Mailing address
PO BOX 5127, EVERETT, WA 98206-5127
(360) 454-1900
(360) 454-1991
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
OP60867244
WA
390200000X
Student in an Organized Health Care Education/Training Program
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Other
Enumeration date
05/07/2015
Last updated
12/11/2018
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